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BAPTIST PRIMARY CARE INC
NPI 1891078234
Internal Medicine in Jacksonville Beach, FL

Active since September 22, 2011CLIA 10D2030931 · Waiver
1370 13TH AVE S, SUITE 216A, JACKSONVILLE BEACH, FL 32250(904) 246-6940(904) 246-6993 Get Directions Write a Review

NPPES record last updated: December 14, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Baptist Primary Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAPTIST PRIMARY CARE INC (NPI 1891078234) is a healthcare organization registered as an internal medicine in Jacksonville Beach, Florida and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through October 6, 2027 and lists Marsha Donaldson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1891078234
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBAPTIST PRIMARY CARE INC
Location Address1370 13TH AVE S, SUITE 216AJacksonville Beach, FL 32250-3230
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 246-6940
Fax(904) 246-6993
Organization SubpartNo
Authorized OfficialMarsha DonaldsonVice President · (904) 376-3703
Enumeration DateSeptember 22, 2011
Last NPPES UpdateDecember 14, 2018
✔ NPI 1891078234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1370 13TH AVE S, Jacksonville Beach, FL 32250
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baptist Primary Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

567

Medicare enrollment records show 567 clinicians reassign Medicare billing to Baptist Primary Care Inc, which bills Medicare for the services they deliver. Of these, 81 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Family Practice185
Hospitalist156
Nurse Practitioner105
Internal Medicine83
Infectious Disease16
Rheumatology10
Endocrinology6
Critical Care (Intensivists)2
3 other specialties4

Nearest to this location (20)

See all 567
Cheryl Roche, APRN, FNP-BC
Nurse Practitioner
NPI 1326329921
1375 ROBERTS DR STE 204
Jacksonville Beach, FL 32250
(904) 247-0056
✔ PECOS✔ Accepts Medicare0.2 mi
Graciela Diez-Hoeck, MD
Internal Medicine
NPI 1710992490
1577 ROBERTS DR STE 224 CREDENTIALING DEPARTMENT
Jacksonville Beach, FL 32250
(904) 249-6940
✔ PECOS✔ Accepts Medicare0.2 mi
Laura Logan, APRN
Nurse Practitioner
NPI 1497098586
1577 ROBERTS DR STE 224
Jacksonville Beach, FL 32250
(904) 246-6940
✔ PECOS✔ Accepts Medicare0.2 mi
Jessica Reinhardt, APRN
Nurse Practitioner
NPI 1396174843
1370 13TH AVE S STE 216
Jacksonville Beach, FL 32250
(904) 247-7778
✔ PECOS✔ Accepts Medicare0.2 mi
Jose Tamayo, MD
Family Practice
NPI 1912161340
1127 16TH AVE S # 216
Jacksonville Beach, FL 32250
(904) 247-7778
✔ PECOS✔ Accepts Medicare0.2 mi
Safia Ahmed, MD
Family Practice
NPI 1083399612
900 BEACH BLVD
Jacksonville Beach, FL 32250
(904) 249-0335
✔ PECOS✔ Accepts Medicare0.9 mi
Antonette Arevalo, APRN
Nurse Practitioner
NPI 1285242743
900 BEACH BLVD
Jacksonville Beach, FL 32250
(904) 249-0335
✔ PECOS✔ Accepts Medicare0.9 mi
Solange Burnette, M.D.
Family Practice
NPI 1336349935
900 BEACH BLVD
Jacksonville Beach, FL 32250
(904) 396-0000
✔ PECOS✔ Accepts Medicare0.9 mi
Anudeep Cherukuri, MD
Family Practice
NPI 1942706361
900 BEACH BLVD
Jacksonville Beach, FL 32250
(904) 249-0335
✔ PECOS✔ Accepts Medicare0.9 mi
Joseph Orallo, APRN
Nurse Practitioner
NPI 1306379847
900 BEACH BLVD
Jacksonville Beach, FL 32250
(904) 249-0335
✔ PECOS✔ Accepts Medicare0.9 mi
Tony Villena, MD
Family Practice
NPI 1104844398
900 BEACH BLVD CREDENTIALING DEPARTMENT
Jacksonville Beach, FL 32250
(904) 249-0335
✔ PECOS✔ Accepts Medicare0.9 mi
Sophie Barnwell, MD
Family Practice
NPI 1477240505
950 MARSH LANDING PKWY STE 105B
Jacksonville Beach, FL 32250
(904) 376-4900
✔ PECOS1.3 mi
Meghan Jonathan, APRN
Nurse Practitioner
NPI 1861960122
950 MARSH LANDING PKWY STE 105B
Jacksonville Beach, FL 32250
(904) 376-4900
✔ PECOS✔ Accepts Medicare1.3 mi
Jonathan Balog, D.O.
Family Practice
NPI 1417214289
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare2.3 mi
Jamie Johnson, M.D.
Hospitalist
NPI 1295930543
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare2.3 mi
Arpitha Ketty, M.D.
Internal Medicine
NPI 1962478388
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2620
✔ PECOS✔ Accepts Medicare2.3 mi
Sally Ann Pantin, MD
Family Practice
NPI 1255305892
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare2.3 mi
Deepica Reddy, MD
Internal Medicine
NPI 1841262318
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare2.3 mi
Ashley Thomas, MD
Hospitalist
NPI 1063874485
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare2.3 mi
Austin Baird, APRN
Nurse Practitioner
NPI 1033864137
4500 SAN PABLO RD S
Jacksonville, FL 32224
(904) 953-2000
✔ PECOS✔ Accepts Medicare2.6 mi
See all 567 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2030931

Baptist Primary Care · Jacksonville Beach, FL
Active · expires Oct 6, 2027
CLIA Number10D2030931
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorGraciela Diez Hoeck
Laboratory Phone(904) 246-6940
Laboratory LocationBaptist Primary Care1577 Robert Dr # 224, Jacksonville Beach, FL 32250
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Baptist Primary Care Inc's NPI number?

The NPI number for Baptist Primary Care Inc is 1891078234. It was assigned to this organization in the NPPES registry on September 22, 2011.

Where is Baptist Primary Care Inc located?

Baptist Primary Care Inc is located at 1370 13th Ave S Suite 216A, Jacksonville Beach, FL 32250. The listed phone number is (904) 246-6940.

What is Baptist Primary Care Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Baptist Primary Care Inc enrolled in Medicare?

Yes. Baptist Primary Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baptist Primary Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 567 clinicians in 11 Medicare specialties reassign their Medicare billing to Baptist Primary Care Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (185), Hospitalist (156) and Nurse Practitioner (105). Of these, 81 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baptist Primary Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2030931) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Primary Care Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Baptist Primary Care Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Baptist Primary Care Inc was last updated on December 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.